Ambwani Sneha, Misra Arup Kumar, Kumar Rajesh
Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Int J Appl Basic Med Res. 2019 Jul-Sep;9(3):135-142. doi: 10.4103/ijabmr.IJABMR_96_19.
Medication error (ME) is an adverse preventable event which happens due to the inappropriate use of medication that leads to patient harm. Such events may be related to professional practice, health-care products, procedures, and systems including prescribing, communication, product labeling, packaging, and nomenclature, compounding, dispensing, distribution, administration, education, monitoring, and use. A major ME is the one, which results in either permanent harm or transfer to the intensive care units or death. When an error is identified, it shall be reported immediately. It must also be nonpunitive so that staff does not have to be afraid of repercussions. An error shall be reported to the concerned consultant immediately. Continuous monitoring and frequent assessments shall be done for the patient. A root cause analysis shall be done for all serious MEs.
用药错误（ME）是一种可预防的不良事件，由于用药不当导致患者受到伤害。此类事件可能与专业实践、医疗保健产品、程序和系统有关，包括处方、沟通、产品标签、包装、命名、配制、分发、给药、教育、监测和使用。严重的用药错误是指导致永久性伤害、转至重症监护病房或死亡的错误。一旦发现错误，应立即报告。报告必须是非惩罚性的，这样工作人员就不必担心受到影响。应立即向相关顾问报告错误。应对患者进行持续监测和频繁评估。应对所有严重的用药错误进行根本原因分析。
